NPI | 1255496543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 044752) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 173764) |
367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN00241) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2024-12-17 |